| NPI | 1720585011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106580) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2021-08-03 |